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Health service utilization among Chi...

Washington University in St. Louis., Social Work.

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Health service utilization among Chinese, Filipino, and Asian Indian older adults in the United States.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Health service utilization among Chinese, Filipino, and Asian Indian older adults in the United States./
Author:	Tan, Jing.
Description:	131 p.
Notes:	Adviser: Nancy L. Morrow-Howell.
Contained By:	Dissertation Abstracts International70-06A.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3359719
ISBN:	9781109215939

Health service utilization among Chinese, Filipino, and Asian Indian older adults in the United States.
Tan, Jing.

Health service utilization among Chinese, Filipino, and Asian Indian older adults in the United States. - 131 p.

Adviser: Nancy L. Morrow-Howell.

Thesis (Ph.D.)--Washington University in St. Louis, 2009.

The subpopulation is 1412 persons aged 65 and older who self-identified as Chinese (618), Filipino (581), and Asian Indian (213). Univariate, bivariate, path analysis, and multiple group analysis were used to answer the research questions.

ISBN: 9781109215939Subjects--Topical Terms:

533633
Gerontology.

Health service utilization among Chinese, Filipino, and Asian Indian older adults in the United States.
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005 20100702
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020 $a 9781109215939
035 $a (UMI)AAI3359719
035 $a AAI3359719
040 $a UMI $c UMI
100 1 $a Tan, Jing. $3 1020338
245 1 0 $a Health service utilization among Chinese, Filipino, and Asian Indian older adults in the United States.
300 $a 131 p.
500 $a Adviser: Nancy L. Morrow-Howell.
500 $a Source: Dissertation Abstracts International, Volume: 70-06, Section: A, page: .
502 $a Thesis (Ph.D.)--Washington University in St. Louis, 2009.
520 $a The subpopulation is 1412 persons aged 65 and older who self-identified as Chinese (618), Filipino (581), and Asian Indian (213). Univariate, bivariate, path analysis, and multiple group analysis were used to answer the research questions.
520 $a The United States is becoming more ethnically diverse, with a rapidly growing Asian population. At the same time, the graying of America brings with it special consideration for America's ethnic minorities. The current research on service utilization among Asian American older adults is very limited. The purposes of this study are: (1) to describe and compare health service needs and health insurance coverage among Chinese, Filipino, and Asian Indian older adults; (2) to use modified Andersen's behavior model to identify what predisposing factors, enabling factors, need factors, and immigrant-related factors are associated with health service utilization; and (3) to test whether the relation between these factors and service utilization vary by ethnic group.
520 $a This dissertation pooled nine years of data (1998-2006) of National Health Interview Survey (NHIS) to explore the health status, health insurance, and health service utilization among specific Asian American subgroups. The total sample size is 851,581.
520 $a The univariate and bivariate results indicate that sociodemograhic characteristics, health needs, and health insurance status vary among Chinese, Filipino, and Asian Indian older adults. Asian Indian older adults are younger, higher percentage of male, less likely to live alone, bigger family size, higher education level, less likely to be poor, more likely to be non-citizens and foreign born, and significantly less likely to have health insurance coverage in general and Medicare coverage. Path analyses results show that there are different factors associated with two types of health services utilization---doctor visits and hospital stays. Having health insurance, poorer self-reported health and greater activities limitations are associated with higher likelihood of doctor visits and hospital stays. In addition, married older adults are less likely to have hospital stays. Multiple group analysis results reveal that path models of both types of health service utilization do not vary by ethnic groups. In spite of limitations of this study, these findings have important implications for social work practice and research.
590 $a School code: 0252.
650 4 $a Gerontology. $3 533633
650 4 $a Social Work. $3 617587
650 4 $a Sociology, Ethnic and Racial Studies. $3 1017474
690 $a 0351
690 $a 0452
690 $a 0631
710 2 $a Washington University in St. Louis. $b Social Work. $3 1020337
773 0 $t Dissertation Abstracts International $g 70-06A.
790 $a 0252
790 1 0 $a Baum, Carolyn $e committee member
790 1 0 $a McBride, Timothy $e committee member
790 1 0 $a Morrow-Howell, Nancy L., $e advisor
790 1 0 $a Nam, Yunju $e committee member
790 1 0 $a Pandey, Shanta $e committee member
790 1 0 $a Spitznagel, Ed $e committee member
791 $a Ph.D.
792 $a 2009
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3359719